go back

South Dakota rates for HCPCS 41825

Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.83 / $217.99 / $217.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.80 / $193.79 / $220.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.17 / $360.16 / $638.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.63 / $278.38 / $554.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.29 / $453.01 / $1,640.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.55 / $367.07 / $580.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.58 / $325.47 / $580.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.45 / $273.66 / $421.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.11 / $366.72 / $617.20
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.40 / $290.50 / $514.29